Provider Demographics
NPI:1013736222
Name:THOMPSON, HANNAH LEE (LPES)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HICKS RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-2713
Mailing Address - Country:US
Mailing Address - Phone:864-313-9332
Mailing Address - Fax:
Practice Address - Street 1:117 HICKS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-2713
Practice Address - Country:US
Practice Address - Phone:864-313-9332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4826103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool